>> senator, part of the framework of this implementation was really to create information and technology exchanges in every part of the country. they are focusing most specifically on small providers, knowing that the luxury to have a big it department or have people who could implement this in a significant period of time, we are not there. in every say, there are individuals who are sort of -- i compare them to the farm extension services. bulk sewer on the ground literally, office to office, hospital to hospital, spend , what'show to convert the best strategies are. we have found in a say like kansas, which is not terribly different from the challenges that you see in your state, that that strategy has been in or mislead effective. small providers are engaged in roles with those extension operations. and find them to be there service team on the ground. i hope that as we move forward with this, that the focus really will be on the issue of operability. we have asked numerous times of about what is happening with regards to an operability. maybe that a lot of providers are creating the